FELICIA THOMPSON COBURN (NPI# 1760804355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760804355 |
| Entity Type | Individual |
| Full Name | FELICIA THOMPSON COBURN |
| Practice Address |
977 N Oaklawn Ave Suite 104 Elmhurst IL 60126-1045 |
| Mailing Address |
3633 Merriott Dr Rockford IL 61101-9408 |
| Practice Telephone | 6308321775 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209010853 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
977 N OAKLAWN AVE SUITE 104 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639251317 | Emelita D Sequeira | Nurse Practitioner | 977 N Oaklawn Ave, Suite 104, Elmhurst, IL 60126-1045 | 2006-10-20 |
| 1699166892 | Brenna Kathleen Kouzoukas | Nurse Practitioner | 977 N Oaklawn Ave, Suite 104, Elmhurst, IL 60126-1045 | 2015-02-10 |
| 1396134623 | Lisa A Biancalana-marsh | Nurse Practitioner | 977 N Oaklawn Ave, Elmhurst, IL 60126-1045 | 2015-01-09 |
| 1184022238 | Laura Elizabeth Miller | Nurse Practitioner | 977 N Oaklawn Ave, Suite 104, Elmhurst, IL 60126-1045 | 2014-12-05 |
| 1508262205 | Guriqbal S Sandhu | Nurse Practitioner | 977 N Oaklawn Ave, Suite # 104, Elmhurst, IL 60126-1045 | 2014-11-07 |
| 1558766139 | Lee-anne J Millas | Registered Nurse | 977 N Oaklawn Ave, Elmhurst, IL 60126-1045 | 2014-10-25 |
| 1225459456 | Rosalyn Dembek | Nurse Practitioner | 977 N Oaklawn Ave, 104, Elmhurst, IL 60126-1045 | 2013-12-13 |
| 1861823692 | Kathleen S Antunovich | Nurse Practitioner | 977 N Oaklawn Ave, Suite 104, Elmhurst, IL 60126-1045 | 2013-12-04 |
| 1730518952 | Jacqueline Myers | Nurse Practitioner | 977 N Oaklawn Ave, Suite 104, Elmhurst, IL 60126-1045 | 2013-11-07 |
| 1508110347 | Latha S Panicker | Nurse Practitioner | 977 N Oaklawn Ave, Suite 104, Elmhurst, IL 60126-1045 | 2012-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576063 | Phoebe Victoria Joe Ong | Nurse Practitioner | 5158 Codwise Pl, Elmhurst, NY 11373-4149 | 2020-10-17 |
| 1487286548 | Lisa Kay Kracinski | Nurse Practitioner | 340 W Butterfield Rd Ste 3b, Elmhurst, IL 60126-5043 | 2020-02-06 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1235699083 | Ekwutos Pauline Nweze | Nurse Practitioner | 7901 Broadway # H2-04, Elmhurst, NY 11373-1329 | 2019-03-20 |
| 1548724578 | Johny Abraham | Nurse Practitioner | 584 N Kenilworth Ave, Elmhurst, IL 60126-1930 | 2019-01-23 |
| 1316488976 | Stephanie Quach | Nurse Practitioner | 425 W Verret St, Elmhurst, IL 60126-4934 | 2017-03-15 |
| 1598202442 | Shimmy Manoj | Nurse Practitioner | 15w625 Virginia Ln, Elmhurst, IL 60126-1261 | 2017-01-30 |
| 1285027730 | Abigail Hasan | Nurse Practitioner | 8306 Vietor Ave, Apt. 2p, Elmhurst, NY 11373-3251 | 2015-03-09 |
| 1982023552 | Supreeti Rangan | Nurse Practitioner | 977 N Oaklawn Ave Ste 104, Elmhurst, IL 60126-1045 | 2014-04-10 |
| 1558635920 | Daniel Yashayev | Nurse Practitioner | 79-01 Broadway Elmhurst, Elmhurst Hospital Center - Preoperative Care Center, Elmhurst, NY 11373 | 2012-03-02 |
| Find all providers in ELMHURST | ||||
Please comment or provide details below to improve the information on FELICIA THOMPSON COBURN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.